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t lf ' 3 ~ ~ ! i ! c tNiS flNAliCIliG STATEMEHT b Vn~ a a KI''~Y for filiwa iw~+~ N 11r Uw:fora~ Cowr+sial God~: ~h ~(ff ~1: 1- D~btor(sl (lost No~e FirM) owd oddns~~ 1 . ~ 2. SewrNi ~ry('~s) awd oddr~a{~s) for Fi~Y O(tk~ (Oo~. Tw. Nuwi6~r. aad l±Cw! OHic~I ~ioPti~s, Daeoth~~3 g~~~ Gsn~al Fjnenc~ Co~'Po~atia~ Fn.~ :~~cuR~o st ~u :;r 3uNtr F1~. Con!'la~aR?id 3~16 S. Fed~ocal Hi$lwy ~ ro~~z ~---R,~s F'C. Pi~aro~, Floride 33~450 Ft. Pie~a•, Florida 33450 c~fF.K coum orr,r,r,:~ yF.. -;i~[S ~ ~ a ~ ~y $ 46 AH'1~1 ~ All of t6• conw~~ yoods noi~ locrosd in or ebout Prbwists oonsfirutin0 th~ d~b~ws' r~sid~wce ot tMir eddr~ss abo~~ s~t fortl+ er ot my od~~? oddr~ss b.hid~ ?h~ sa~~ ~ar b~ r~~or~d and mr aopMtr list~d b~low. 3. /1~siqM~{s) ef S~ow~d Iarb and Addrtas(~s1 [J Th~ fofbwiM ProPKty: ~~j~1~8 _ - 6. row+~ oanrW. .~or .~w.Kd ~io.vs s.b+. oMa +r rr w.r~ np~:+d 6r orr~r 7D~. ibr.ss S~w~.a N Mr. M+ . dend aw Mr pa~.»a~ ..~Mrrwr~ rcv1~i hwdl. w.i ~ M vbo/ aw ~I ~l6~arr ~r! rl? iwMrwu ~M ~l M~e raw~d_ - ihis stNewrwt is f~d wiMou~ M~e d~bar's s~Y~~ b PK~ o t~h inbenf in coBoMroL (CMd~ ~ if so) Alreodr subjMtt b a secwilr inM~~s1 in arwlf~N ju^fdctien rhew it wras bwph~ iwto tlws sto4. w~hisA is powds oF Ait orqiesl colbl~eol dfw~d abow is whitl~ a s~aKib i~q~r~ft wos perl~ded: _CMck ~ i{ coree~d: rJ hoeeeds oi Collswrol ~n elso oo~~d. ?/rodvda of Co1bN?ol ar~ olso oorw~d. No of odditionol SFwri pr~wMd: F~~.a .,~~u: OZl~~ Or C~C111t 001n'~r _ Gene~al FYaana Cos~po~atioa ~ . ~f• a) iecvr~d ~onpli~s) (s) of (sf - STANDARD FORM - FORIM i1C~-i } f~~ Ft~t;1? ~C''I~ C~i17y - Alphabeti.''.d~ b~r Ricl~ard (Ditk) SNw~. Sea~bry e SWte, oi Fb.~do t.rr:v:-' . - - '~Y~' Gr" ~~~~ry'4^""~'}-.~=":t .~°tf ~h _ ;fa- ~ ;,*3 E.~ _ _ -vs3 _ ~P . . . . ~ S~'.:s..~~x ~1-.-n ~~t':s . ~{Y _?s. ' "